USS 1678 TR C LT C-4 - ZCP 12/9/2016Kodiak Island Borough Print Form Submit by Email
Community Development Department
g 710 Mill Bay Rd. Rm 205
Kodiak AK 99615
- Ph. (907) 486 - 9363 Fax (907) 486 - 9396
20560
http://www.kodiakak.us
Zoning Compliance Permit Permit No. BZ2017-050
Subd Case No. S76 -423A Plat No. 77-07 Bld'g Permit No. TBD by Building dept
The following information is to be supplied by the Applicant:
Property Owner / Applicant:
Patti Hendrix
Mailing Address:
P.O. Box 8690
Phone Number:
(907)250-0003
Other Contact email, etc.:
hendrixpa@aol.com
Legal Description:
Subdv: USS 1678 Block: TRC Lot: C-4
Street Address:
2156 Monashka Way
Use & Size of Existing Structures:
Single family residence
Description of Proposed Action:
Repair of fire damage and reconstruction of previously unpermitted addition.
Construction of a second story, building
footprint as shown on attached as -built survey.
Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points,
and vehicular parking areas.
Staff Compliance Review:
Current Zoning: RR1 KIBC 17.70 PROP -11D 20560
Lot Area: 0.97 Acres
Lot Width: 120' Bld'g Height: 35'
Front Yard: 25 '
Rear Yard: 20' Side Yard: 15'
Prk'g Plan Rvw? Yes
# of Req'd Spaces: 3
Staff Compliance Review Notes:
Plat / Subdivision Requirements?
This zoning compliance permits the previously unpermitted construction.
Subd Case No. S76 -423A Plat No. 77-07 Bld'g Permit No. TBD by Building dept
Does the project involve NO
an EPA defined facility?
*Commercial buildings, installations (military bases),
institutions (schools, hospitals) and residences with
more than four (4) dwelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
N/A
N/A
TBD by Building dept
Proof of EPA notification provided (if required)? N / A
*Required for all demolitions, for renovations disturbing at least 160 square
feet 2601inear feet, or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and
for renovations that remove a load -supporting structural member.
No permit will be issued for such projects without proof of EPA notification
Applicant Certification: 1 hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that 1
have the authority to certify this as the property owner, or as a representative of the property owner. 1 agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? As -Built Survey List Other: N/A
Date: 12/9/2016 Signature: Patti Hendrix
This permit is only for the proposed project as described by the applicant. If there are any chan es to the
proposed project, including its intended use, prior to or during its siting, construction, or operation, contact
this office immediately to determine if further review and approval of the revised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
** EXPIRATION: Any zoning compliance permit issued is subject to the same expiration, suspension, and revocation provisions as a
building permit issued for the some construction permit.**
CDD Staff Certification
Date: Dec 9, 2016 CDD Staff: Daniel Mckenna-Fos
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
❑
$0.00
❑
$0.00
Less than 1.75 acres:
❑X
$30.00®
❑
$60.00
1.76 to 5.00 acres:
❑
$60.00
❑
$120.00
5.01 to 40.00 acres:
❑
$90.00
❑
$180.00
40.01 acres or more:
❑
$120.00
®A IM
$240.00
0 2016 r
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KODIAKiSuANu 6WHOUGH
RNAMP.FnFPaRTmw
PAYMENT DATE
12/09/2016
COLLECTION STATION
CASHIER
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
RECEIVED FROM
PATTI HENDRIX
DESCRIPTION
BZ -2017-050 2156 MONASHKA WAY KODIAK AK 99615
BATCH NO.
2017-00000322
RECEIPT NO.
2017-00000649
CASHIER
Cashier
PAYMENT CODE RECEIPT DESCRIPTION-• •AMOUNT
Zoning ComplZoning
Payments:
Compliance Permit
Type Detail Amount
$30.00
Check 4871 $30.00
Total Amount:
Customer Copy
$30.00
Printed hv: Cashier Pane 1 of 1 12109/2016 01--4l.-35 PM
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